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Articles 421 - 450 of 6363
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Patient Safety In Ambulatory Hysteroscopy, Myko Lanier
Patient Safety In Ambulatory Hysteroscopy, Myko Lanier
Walden Dissertations and Doctoral Studies
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Strategies To Reduce Emergency Department Overcrowding At Hospitals In Puerto Rico, Nicole Melissa Rivera Sánchez
Strategies To Reduce Emergency Department Overcrowding At Hospitals In Puerto Rico, Nicole Melissa Rivera Sánchez
Walden Dissertations and Doctoral Studies
Emergency department (ED) overcrowding has become an increasingly critical issue for the healthcare system of Puerto Rico, resulting in delayed care and increased patient morbidity, among other challenges faced by hospital leaders and administrators. This paper explores evidence-based strategies tailored to the Puerto Rican healthcare context to alleviate ED overcrowding. An integrative review of literature published between 2020 and 2025 was conducted. For this review, 15 articles were selected and appraised using the Johns Hopkins Evidence-Based Practice Model for Nursing and Healthcare Professionals. The strategies gleaned from the literature comprised six themes and 21 subthemes, centered on two major outcomes: …
Executive Summary: Organization Change Process Initiative Usability And Integration Of A Nutrition Screening Tool In Outpatient Mental Health Care, Jennifer Marie Ross
Executive Summary: Organization Change Process Initiative Usability And Integration Of A Nutrition Screening Tool In Outpatient Mental Health Care, Jennifer Marie Ross
Walden Dissertations and Doctoral Studies
Summary This doctoral, practice-focused quality improvement project used a mixed-methods design to evaluate the usability, acceptability, and clinical integration of a nutrition screening tool in a mental health outpatient clinic. The project addresses a key practice gap, the lack of evaluation of the implementation of a systematic nutrition screening for individuals with severe mental illness (SMI), which contributes to worsening psychiatric symptoms and delayed recovery. Aligning with nursing’s holistic and patient-centered framework, the initiative aimed to strengthen interprofessional collaboration and preventive care. The guiding practice-focused questions addressed: How usable and acceptable is the clinical practice guideline (CPG) tool among clinic …
Junior-Level Women Experiences Influencing Their Departure From The U.S. Coast Guard, Jill Lynn Lazo
Junior-Level Women Experiences Influencing Their Departure From The U.S. Coast Guard, Jill Lynn Lazo
Walden Dissertations and Doctoral Studies
Despite increasing attention to public service motivation (PSM) in organizational research, there is a notable absence of studies examining the experiences of women in military contexts, particularly within the United States Coast Guard (USCG). This generic qualitative study, grounded in PSM theory, explored why junior-level women in the USCG prematurely exited military service. While existing research on PSM and women is limited and none specifically focused on women in the USCG, this study addressed that gap by interviewing 16 junior-level women who had separated from the USCG between four and eight years prior. The purpose of the study was to …
High School Teachers' Use Of Project-Based Learning To Address Issues Of Equity, Social Justice, And Cultural Relevance, April Serenity Riser
High School Teachers' Use Of Project-Based Learning To Address Issues Of Equity, Social Justice, And Cultural Relevance, April Serenity Riser
Walden Dissertations and Doctoral Studies
In many educational settings, marginalized populations—African American or Black students, Hispanic students, students in special education programs, and economically disadvantaged students—struggle with traditional assessments, which may create learning gaps. Grounded in Dewey, Vygotsky, and Bruner’s theories, the research problem and purpose of this qualitative single context exploratory case study was to explore high school teachers use of PBL as an innovation to address issues of equity, social justice, and cultural relevance to engage marginalized high school students. Purposeful sampling was utilized to identify 11 high school teachers who employ PBL from multiple campuses in a single school district. Data sources …
U.S. Government Software Development Entity Implements A Hybrid Of Waterfall And Agile To Address Failures, Dwight Jerome Peters Jr.
U.S. Government Software Development Entity Implements A Hybrid Of Waterfall And Agile To Address Failures, Dwight Jerome Peters Jr.
Walden Dissertations and Doctoral Studies
Although organizations allocate substantial resources to software development process initiatives, a significant portion of these projects fail. The U.S. government software development leaders and managers need to understand the disadvantages of both waterfall and agile methodologies as leading indicators of project failure. Grounded in the diffusion of innovation theory, the purpose of this qualitative case study was to explore the consequences in government software development fostered by a hybrid approach of waterfall and agile methodologies pertaining to the inherent shortcomings of each methodology. The participants consisted of four current and four former team members from the U.S. government software development …
Depression Screening In Veterans And Active-Duty Service Members With Chronic Pain, Lynelle Marie Endsley
Depression Screening In Veterans And Active-Duty Service Members With Chronic Pain, Lynelle Marie Endsley
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project addressed the absence of evidence-based depression screening among military members and veterans with chronic pain. Contrary to national guidelines, no standardized depression screening process was in place. This gap in practice was attributed to inadequate staff knowledge and understanding in using such tools. The purpose of this project was to evaluate whether staff education on the Patient Health Questionnaire-9 (PHQ-9) improved knowledge and confidence, in evaluating for and identifying depression in a high-risk population. The practice-focused question asked: Will staff education on the importance and consistent use PHQ-9 increase knowledge and confidence in depression …
The Nurse's Role In Patient Preparation For Discharge To Optimize Patient Outcomes And Reduce Readmissions, Marie-Antoinette Chevrin
The Nurse's Role In Patient Preparation For Discharge To Optimize Patient Outcomes And Reduce Readmissions, Marie-Antoinette Chevrin
Walden Dissertations and Doctoral Studies
For this Doctor of Nursing Practice (DNP) project, I created a staff education initiative aimed at enhancing nurses’ understanding of heart failure (HF) and clarifying their role within clinical pathways for managing decompensated HF. HF is a common and complex condition, accounting for 1-2% of hospital admissions. In response to the rising 30-day readmission rate and lack of a standardized discharge protocol, an evidence-based staff education program was developed. According to the “ACC/AHA/HFSA 2022 HF guidelines”, effective prevention and management require nurses to understand causes, risk factors, and pathophysiology of HF, along with their role in patient-centered care. Nurses routinely …
Critical Food Safety Violations In Food Facilities By Regions Across Calgary Communities From 2022 Versus 2023, Kamorudeen Olayinka Bakare
Critical Food Safety Violations In Food Facilities By Regions Across Calgary Communities From 2022 Versus 2023, Kamorudeen Olayinka Bakare
Walden Dissertations and Doctoral Studies
Critical food safety violations in food facilities are severe infractions that may affect the quality and safety of foods as well as the health and wellbeing of consumers in Canada. In 2023, Alberta Health Services heightened scrutiny on these violations in Calgary. However, no investigation has been undertaken to document its potential effects on types and trend (from the previous year) of food safety violations in food facilities across Calgary regions. The purpose of this quantitative study was to examine the associations between Calgary regions of Canada, Year (2022 versus 2023), and the number of types of critical food safety …
The Perceptions Of Foster Care Alumni Who Are Recipients Of Pandemic Aid, Ashley Robinson
The Perceptions Of Foster Care Alumni Who Are Recipients Of Pandemic Aid, Ashley Robinson
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic heightened challenges for young adults transitioning from foster care to independence. Research shows that foster care alumni faced barriers in education, employment, housing, and health due to limited support networks. Yet, little is known about how emergency policies, such as the Consolidated Appropriations Act (CAA) of 2021, affected them. The purpose of this qualitative study was to explore the perceptions and experiences of foster care alumni who received financial aid through the Act. The research question: What were the experiences and perceptions of foster care alumni (aged 18-26) who received funds via the CAA of 2021 during …
Development Of An Evidence-Based Clinical Practice Guideline For Discharging Patients With Substance Use Disorder (Sud) From Outpatient Treatment To Community Care, Emmanuel Onyeani
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project addressed a gap in practice in an outpatient treatment center for discharging patients with substance use disorder (SUD), addressing the need for follow-up care and relapse prevention due to the widespread impact of SUD. Clinical practice guidelines (CPG) help healthcare professionals make informed decisions for specific clinical situations. The guiding question asked whether an expert panel would evaluate and validate a CPG developed from current, evidence-based literature and recommendations with 70% agreement using the AGREE II tool. The CPG focused on continuity of care, access to resources, and relapse prevention strategies. Seven expert …
Associations Between Devices, Flavors, Ease Of Acquisition, And Use Of E-Cigarettes Among American Youth, Sasha Anderson
Associations Between Devices, Flavors, Ease Of Acquisition, And Use Of E-Cigarettes Among American Youth, Sasha Anderson
Walden Dissertations and Doctoral Studies
Abstract Initiation of use of e-cigarettes is attributed to many factors and must be understood to curtail health-related problems such as cardiovascular and pulmonary diseases that are associated with use of tobacco products. This study used the Social Cognitive Theory to analyze how curiosity and peer influence could be possible predictors of e-cigarette use among youth in the United States. Predictors of flavor preference and acquisition were also examined. Data were acquired from the Centers for Disease Control and Prevention’s 2018 National Youth Tobacco Survey (N = 20,189). Statistical tests to determine existing relations and associations were binary and multinomial …
Dialysis Social Workers' Perceptions Of Strategies To Address Biopsychosocial-Spiritual Barriers To End-Of-Life Planning With Black Dialysis Patients, Annette Carol Kestner
Dialysis Social Workers' Perceptions Of Strategies To Address Biopsychosocial-Spiritual Barriers To End-Of-Life Planning With Black Dialysis Patients, Annette Carol Kestner
Walden Dissertations and Doctoral Studies
Black individuals with end-stage renal disease (ESRD) have an excessive risk of mortality and experience ongoing inequities in end-of-life (EOL) planning. This basic qualitative study, informed by Sulmasy's biopsychosocial-spiritual model, explored social workers' perspectives about approaches that consider the interplay of physical, psychological, social, and spiritual aspects for mitigating barriers to EOL planning among Black dialysis patients. Data were obtained from semi structured interviews with 10 licensed dialysis social workers in Virginia and Maryland. Thematic analysis with descriptive coding, reflexive journaling, and peer debriefing was employed to analyze qualitative data to ensure trustworthiness. Six themes were identified: (a) building trust …
Parental Ses And Geographic Location As Predictors Of Graduations In Southeastern High Schools Before And After Covid-19, Marcy J. Watkins
Parental Ses And Geographic Location As Predictors Of Graduations In Southeastern High Schools Before And After Covid-19, Marcy J. Watkins
Walden Dissertations and Doctoral Studies
African American students in the United States have long faced systemic barriers to high school completion, which were further intensified by the COVID-19 pandemic. The purpose of this quantitative, correlational-predictive study was to examine the extent to which parental SES and school location predict graduation outcomes among African American students in southeastern public high schools from 2019 to 2024. Grounded in Bandura’s social learning theory, the study explored how environmental and socioeconomic contexts influence academic achievement. Three research questions guided the study: (1) To what extent do parental SES and location combined predict the number of African American graduates? (2) …
A Clinical Practice Guideline For Managing Gastrointestinal Toxicities Related To Glp-1ra And Gip/Glp-1ra Medications, Lindsay Williamson
A Clinical Practice Guideline For Managing Gastrointestinal Toxicities Related To Glp-1ra And Gip/Glp-1ra Medications, Lindsay Williamson
Walden Dissertations and Doctoral Studies
The project is a Clinical Practice Guideline (CPG) for managing Gastrointestinal (GI) toxicities related to Glucagon-like Peptide-Receptor Agonist 1 (GLP-1RA) and Glucose-dependent insulinotropic polypeptide/Glucagon-like peptide-1Receptor Agonist (GIP/GLP-1RA) medications. Many patients are seeking weight loss with these agents, which cause GI toxicities that lead prescribers to have patients remain at lower doses that are sub-therapeutic or discontinue therapy. Advanced Practice Registered Nurses (APRNs) are prescribing these therapies for patients and lack an evidence-based CPG for properly managing the most common GI toxicities. APRNs can successfully monitor and manage GI symptoms to promote tolerability and treatment adherence. The project question focuses on …
Grade 6–8 Teacher Perceptions Regarding Teacher Resiliency Factors In A Northeastern State’S Public Middle Schools, Melanie Totten-Jonas
Grade 6–8 Teacher Perceptions Regarding Teacher Resiliency Factors In A Northeastern State’S Public Middle Schools, Melanie Totten-Jonas
Walden Dissertations and Doctoral Studies
Teacher attrition presents a significant challenge for Northeastern State Middle School Districts (NSMSD), threatening educational stability and student outcomes. This qualitative study examined Grade 6–8 teachers’ perceptions of resilience as a factor influencing their decisions to remain in the teaching profession. Grounded in resilience theory, the study explored how teachers overcame professional challenges and identified supports that promoted retention, addressing a gap in existing research. Using a basic qualitative design, semistructured interviews were conducted with 14 purposefully selected middle school teachers from NSMSD. Reflexive thematic analysis using open coding revealed five key themes: individual resilience factors, relational supports and collegial …
Clinicians’ Perceptions Of Restorative Justice And Community-Based Intervention Programs For Juvenile Offenders, Jacque Timberlake
Clinicians’ Perceptions Of Restorative Justice And Community-Based Intervention Programs For Juvenile Offenders, Jacque Timberlake
Walden Dissertations and Doctoral Studies
The main goals of restorative justice and community-based intervention programs include reducing reoffending behavior, successful reintegration, and yielding greater satisfaction among participants. Although clinicians play a vital role in conducting rehabilitation methods for youth offenders, the problem was a lack of literature that explored clinicians’ perceptions of implementing more effective alternatives such as restorative justice and community-based intervention programs. The purpose of this generic qualitative study was to explore clinicians’ perceptions of administering rehabilitative interventions for youth offenders, specifically in reducing recidivism, adequately addressing mental health concerns, and evaluating overall program effectiveness. The risk-need responsivity model and the good lives …
Excessive Expulsions And School Suspensions Of Black Children, Lasharee O. Rogers
Excessive Expulsions And School Suspensions Of Black Children, Lasharee O. Rogers
Walden Dissertations and Doctoral Studies
While national and state-level literature has documented racial inequities in school discipline, limited research has focused on how these policies are specifically implemented and perceived within the Charlotte Metropolitan Statistical Region School. The purpose of this basic qualitative study was to examine factors related to higher rate of expulsions and school suspensions of Black high school students in the CMSR Schools in comparison to their peers through the lens of the critical race theory. This research was used to engage teachers and administrators on current school suspension and expulsion policies while encouraging modifications to those policies that warranted equity and …
Teachers’ Perspectives On The Use Of Real-Time Online Assessment Tools In Urban Elementary Schools, Sally Adam
Teachers’ Perspectives On The Use Of Real-Time Online Assessment Tools In Urban Elementary Schools, Sally Adam
Walden Dissertations and Doctoral Studies
Student response systems (SRS) and audience response systems (ARS) in the elementary classroom are sometimes used to assess students while keeping them engaged and offering them immediate feedback. The purpose of this basic qualitative study was to explore teachers’ perspectives on challenges of and resources needed to implement SRS and ARS in urban elementary schools in the Northeast United States. The conceptual framework for this study included the technology acceptance model and the theory of planned behavior. Semistructured interviews with 12 urban elementary school teachers from the Northeast United States were analyzed using a qualitative data analysis procedure by coding, …
High School Instructional Staff Perspectives On Effective Strategies For Increasing Enrollment In The Career And Technical Education Pathway, Briana O'Brien
High School Instructional Staff Perspectives On Effective Strategies For Increasing Enrollment In The Career And Technical Education Pathway, Briana O'Brien
Walden Dissertations and Doctoral Studies
The problem addressed in this study was the challenges of enrolling students in the career and technical education (CTE) pathway at a northeastern high school, despite local and national commitments to expanding CTE opportunities. The purpose of this basic qualitative study was to explore high school instructional staff perceptions of the challenges in enrolling students in the CTE pathway and the strategies they suggest would increase enrollment. The study was grounded in the conceptual framework of the concerns-based adoption model and the expectancy-value theory, which allowed for an understanding of staff concerns, motivations, and perceptions in relation to student enrollment …
Educator Perceptions On Preparing Students For A Biology I State Assessment, Lila Grooms
Educator Perceptions On Preparing Students For A Biology I State Assessment, Lila Grooms
Walden Dissertations and Doctoral Studies
The problem addressed through this study was that 9th and 10th grade students’ Biology I state assessment scores continued to decline in a suburban South Carolina school district. The purpose of this basic qualitative study was to explore biology teachers’ perceptions of the low success rates on the Biology I state assessment and to identify recommendations for improvement. Vygotsky’s social constructivism theory provided the conceptual framework, emphasizing the role of social engagement and collaborative learning environments. Semistructured interviews with nine high school biology teachers were conducted and using Braun and Clark’s thematic analysis approach. Themes revealed that teachers are: (a) …
Business Incubator Managers’ Strategic Approaches To Enhance Sustainable Competitive Advantage For Nigerian Startups, Adekunle Seye Ogunniyi
Business Incubator Managers’ Strategic Approaches To Enhance Sustainable Competitive Advantage For Nigerian Startups, Adekunle Seye Ogunniyi
Walden Dissertations and Doctoral Studies
The inability of many Nigerian startups to sustain operations beyond their first five years remains a critical challenge for startup leaders. Startup leaders who lack effective strategies and capabilities to outperform competitors risk extinction within the entrepreneurial ecosystem. Grounded in the resource-based view (RBV) and Porter’s five forces (P5F) framework, the purpose of this qualitative pragmatic inquiry was to explore the strategies employed by business incubator managers to enhance sustainable competitive advantage for Nigerian startups. The participants included six business incubator managers in Nigeria who had successfully implemented strategies that supported the survival and growth of startups beyond five years. …
Factors Affecting Business Growth Among U.S. African Immigrant Entrepreneurs, Ken Barnes
Factors Affecting Business Growth Among U.S. African Immigrant Entrepreneurs, Ken Barnes
Walden Dissertations and Doctoral Studies
African immigrant entrepreneurs experience obstructions in growing their businesses into nationally recognized names in the United States. Business leaders and policymakers need to understand the obstructions inhibiting African immigrant entrepreneurs’ success. Grounded in human capital theory, the purpose of this qualitative single case study was to explore the factors experienced by African immigrant entrepreneurs as obstructions for African immigrant-owned businesses from growing into nationally recognized names in the United States. The participants comprised 15 African immigrant entrepreneurs from California, New York, New Jersey, and Texas, each with a minimum of 5 years of business ownership experience and an annual minimum …
Strategies For Addressing Junior College Attrition Among Female African American Nontraditional Students, Antweshia Hawes-Wood
Strategies For Addressing Junior College Attrition Among Female African American Nontraditional Students, Antweshia Hawes-Wood
Walden Dissertations and Doctoral Studies
Female African American nontraditional students (25+ years with family and work demands) have high attrition rates, they leave degree programs before graduating, worsening socioeconomic disparities. This phenomenological study described their experiences with support services, which shaped student self-efficacy related to completing programs, and identified what changes were needed to improve support for higher graduation rates among female African American nontraditional students participating in 2-year degree programs offered by junior colleges. Guided by Bean’s industrial model of student attrition and Fishbein and Aizen’s importance of intention model, the study posed two research questions: What are the lived experiences of female nontraditional …
Police Officers’ Perceptions Of The Cultural, Structural, And Potential Training Barriers That Prevent Police Agencies From Adopting An Effective Emergency Response System, Allan David Dunham
Police Officers’ Perceptions Of The Cultural, Structural, And Potential Training Barriers That Prevent Police Agencies From Adopting An Effective Emergency Response System, Allan David Dunham
Walden Dissertations and Doctoral Studies
Despite the proven efficacy of the incident command system (ICS), police agencies face obstacles in effective critical incident response. This qualitative study explored the cultural, structural, and potential training barriers that hinder the adoption of the ICS within police agencies. The purpose was to investigate how police can more effectively adopt this unified command structure designed for multiagency emergency response. Guided by the theory of planned behavior, the research question addressed how California police officers’ attitudes, perceived social norms, and sense of behavioral control influence their adoption of incident command system principles. Data were collected using semistructured Zoom interviews with …
The Perceived Barriers To Services Among Hispanic Immigrant Community Members In Southern Connecticut, Catherine Andrea Ortegon
The Perceived Barriers To Services Among Hispanic Immigrant Community Members In Southern Connecticut, Catherine Andrea Ortegon
Walden Dissertations and Doctoral Studies
In this qualitative phenomenological study, the perceived barriers to services among Hispanic immigrant community members in Southern Connecticut were explored. The study was grounded in social disorganization theory and cultural conflict theory to identify the specific obstacles these communities face, understand the underlying causes, and examine the broader societal and criminal justice implications. Data were collected through open-ended anonymous questionnaires with participants from Hispanic immigrant communities. The findings revealed that fear of deportation, language barriers, and limited education about available services and resources were the most perceived barriers. These challenges were found to significantly affect the integration and well-being of …
Effective Strategies It Leaders Use To Predict Project Failure Trends To Forecast Project Management Flow, Allen Jeffrey Taber
Effective Strategies It Leaders Use To Predict Project Failure Trends To Forecast Project Management Flow, Allen Jeffrey Taber
Walden Dissertations and Doctoral Studies
As a result of inadequate forecasting methods, Information Technology leaders experience inconsistent project flow and increased project failure. IT leaders who cannot predict project failure trends to better forecast and improve project management flow risk project failure and financial loss. Grounded in Porter’s five forces model, the purpose of this qualitative pragmatic inquiry was to explore strategies that some IT leaders use to predict project failures to better forecast project failures to improve project management flow and reduce expenditures. The participants were six senior-level IT professionals who successfully predicted project failures to better forecast project failures to improve project management …
Jamaican Newspapers’ Strategies For Transitioning From Print To Web Publishing, Collin George Turner
Jamaican Newspapers’ Strategies For Transitioning From Print To Web Publishing, Collin George Turner
Walden Dissertations and Doctoral Studies
A lack of effective strategies to transition from print publishing to web publishing can adversely impact newspaper publishers’ sustainability and profitability. Business leaders of established newspaper publishers are concerned, as they require such strategies to enhance and maintain financial viability. Grounded in Christensen’s disruptive innovation theory, the purpose of this qualitative pragmatic inquiry was to explore the effective strategies some Jamaican newspaper publishers used to transition from print publishing to web publishing to improve and sustain profitability. The project participants included six business leaders from established Jamaican newspaper publishers. Data were collected from semistructured interviews, public websites, and other publicly …
Exploring Effective Technological And Innovation Strategies For Sustaining Fintech Startups In Nairobi, Kenya, Beyond 5 Years, Esay Kollie
Walden Dissertations and Doctoral Studies
Some small financial technology, or fintech, startup leaders in Nairobi, Kenya, lack the technological and innovation strategies required to sustain operations beyond 5 years. High failure rates among fintech startups in the early stages of operation affect financial inclusion and economic development in the region. Grounded in resource-based view theory, this qualitative pragmatic inquiry was to explore effective technological and innovation strategies fintech startup leaders in Nairobi use to sustain operations beyond 5 years. Data was collected through semistructured interviews with eight fintech startup leaders from different firms. Thematic analysis revealed seven major themes: (a) leveraging technological infrastructure, (b) innovating …
Successful Cybersecurity Strategies For Protecting Consumer Data, Zylia Ortiz
Successful Cybersecurity Strategies For Protecting Consumer Data, Zylia Ortiz
Walden Dissertations and Doctoral Studies
The continued advancement of information technology, although extraordinary and innovative, may have a profoundly negative impact on the adequate protection of consumer information. Consumers and organizational stakeholders alike are increasingly concerned about the risk of data ending up in the hands of cybercriminals. Grounded in the routine activity theory, the purpose of this qualitative pragmatic inquiry research project was to identify and explore the strategies information technology leaders use to protect customer data from security breaches. The participants were eight information technology leaders in the Washington, D.C., Virginia, and Maryland area. Data were collected using semistructured interviews and public websites. …